Living with a Change in Dialysis Modalities: A Case Study

Area of Science:

• Nephrology Nursing
• Interdisciplinary Patient Care
• End-of-Life Care Planning

Background:

• Nephrology nurses are integral to dialysis patient care, facing challenges with treatment modality changes and end-of-life decisions.
• Effective care for dialysis patients requires open communication and a structured interdisciplinary team approach.
• Patient and family struggles during dialysis modality changes and end-of-life discussions are common.

Observation:

• A case study of Mr. T. highlights a necessary dialysis modality change.
• The patient and family experienced challenges related to this significant life change.
• Coordination of care was crucial for achieving desired outcomes.

Findings:

• The interdisciplinary team approach provided a foundational structure for quality care.
• Open discussions were essential for navigating the patient's treatment and end-of-life decisions.
• The Family Nurse Practitioner Primary Care Provider (FNP PCP) was instrumental in coordinating Mr. T.'s care.

Implications:

• Implementing a coordinated, interdisciplinary team approach improves care for dialysis patients facing complex decisions.
• Enhanced communication and support are vital for patients and families during dialysis modality changes and end-of-life planning.
• The role of advanced practice providers, such as FNPs, is critical in facilitating team-based care coordination in nephrology.